PREOPERATIVE DIAGNOSIS: Bilateral brow ptosis, OU- dermatochalasis upper and lower eyelids, bilateral temporal atrophy, bilateral lower lid fat deflation, submental adiposity, cervicofacial skin laxity, jowling, cosmetic nasal deformity, nasal obstruction secondary to deviated septum, bilateral internal valve narrowing, and bilateral compensatory hypertrophic turbinates.
PROCEDURE: Endoscopic brow lift with Coapt ultratine bioabsorbable implant fixation, Bilateral- upper and lower (fat repositioning) blepharoplasty, fat grafting to bilateral lower eye lids and temporal areas, submentoplasty (platysmaplasty and preplatysmal fat excision), rhytidoplasty, minimal access open septorhinoplasty, repair of nasal vestibular stenosis, bilateral turbinoplasty, bilateral spreader grafts, adicyte fat storage and platelet gel application.
- Right brow ptosis greater than left
- OU upper and lower lid dermatochalasis
- bilateral temporal atrophy, bilateral lower lid fat deflation
- submental adiposity
- cervicofacial skin laxity
- left septal deviation with left spur
- bilateral turbinate hypertrophy
- short nasal bones
- long/narrow middle vault
- overprojected tip
- bony and cartilaginous hump
COMMENT: This patient wished to improve the appearance of her nose. In addition, she wanted to eliminate the excess skin over the eyelids and raise the brow in an effort to obtain a more rested appearance. The patient also wanted to improve the appearance of the jawline by tightening the skin in that area and removing fat. Post-operative photos reveal a more youthful appearance. The eyes appear more refreshed, and the profile is more aesthetically pleasing. Better breathing has been reported as well.